Provider Demographics
NPI:1073822136
Name:HART, JOSEPH (LPC, MHSP)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:HART
Suffix:
Gender:M
Credentials:LPC, MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 TOWN CENTER PKWY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-4407
Mailing Address - Country:US
Mailing Address - Phone:615-429-3967
Mailing Address - Fax:931-451-7181
Practice Address - Street 1:220 TOWN CENTER PKWY
Practice Address - Street 2:SUITE 203
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-4407
Practice Address - Country:US
Practice Address - Phone:615-429-3967
Practice Address - Fax:931-451-7181
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-06
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2377101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health